青少年电子烟使用者有最高的吸烟意图风险。
Adolescent E-cigarette Users at Highest Risk of Cigarette Smoking Intention.
机构信息
Olusegun Owotomo, Children's National Medical Center, Washington, DC, United States.
Julie Maslowsky, Joe R. & Teresa Lozano Long Endowed Associate Professor of Health Behavior & Health Education, Department of Kinesiology & Health Education, University of Texas at Austin, Austin, TX, United States, Email:
出版信息
Am J Health Behav. 2021 Jul 26;45(4):711-722. doi: 10.5993/AJHB.45.4.10.
Adolescent e-cigarette users are at risk of developing smoking intention, an established predictor of conventional cigarette smoking. In this study, we identify subgroups of adolescent e-cigarette users who are most likely to intend to smoke conventional cigarettes. Cross-sectional data on 1357 8th and 10th grade e-cigarette users who had never smoked conventional cigarettes were obtained from 2014-2017 Monitoring the Future Surveys. We conducted latent class analysis to identify subgroups of adolescent e-cigarette users; through latent class regression analysis, we examined the association between subgroup membership and smoking intention. We identified 3 subgroups of adolescent e-cigarette users: socially-protected (56.6%), peer-driven (29.8%), and market-vulnerable (13.6%). The peer-driven class reported the highest number of peers who smoke and the lowest proportion of friends who strongly disapproved of daily cigarette smoking. They were significantly more likely than the socially-protected and market-vulnerable classes to have smoking intention (AOR=2.46; 95% CI 1.84-3.28, and AOR=2.29; 95% CI 1.48-3.53, respectively). Our findings provide insights on the constellation of risk and protective factors that contribute to smoking intention among adolescent e-cigarette users. It highlights peer influence as an important area of emphasis for adolescent smoking prevention programs.
青少年电子烟使用者有发展为吸烟意向的风险,而吸烟意向是常规香烟吸烟的既定预测指标。在这项研究中,我们确定了最有可能打算吸传统香烟的青少年电子烟使用者亚组。我们从 2014 年至 2017 年的“监测未来”调查中获得了从未吸过传统香烟的 1357 名 8 年级和 10 年级电子烟使用者的横断面数据。我们进行了潜在类别分析,以确定青少年电子烟使用者的亚组;通过潜在类别回归分析,我们检查了亚组成员与吸烟意向之间的关联。我们确定了青少年电子烟使用者的 3 个亚组:社交保护型(56.6%)、同伴驱动型(29.8%)和市场脆弱型(13.6%)。同伴驱动型群体报告的吸烟同伴人数最多,而强烈反对每日吸烟的朋友比例最低。与社交保护型和市场脆弱型群体相比,他们更有可能有吸烟意向(AOR=2.46;95%CI 1.84-3.28,和 AOR=2.29;95%CI 1.48-3.53)。我们的研究结果提供了关于风险和保护因素的组合的见解,这些因素促成了青少年电子烟使用者的吸烟意向。它强调了同伴影响是青少年吸烟预防计划的一个重要重点领域。